STC Opco LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

STC OPCO LLC

Doing business as

St Christophers Hospital for Children Emergency Medicine

Practice address

160 E Erie Ave
Philadelphia, PA 19134-1011

Phone

(215) 427-5000

NPI assigned

Nov 27, 2019

Last updated

Jan 2, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Conner

Title

VP & Cfo

Phone

(484) 628-8181

Specialties & licenses 1

Addresses

Other names 1

• St Christophers Hospital for Children Emergency Medicine Doing business as

Tax ID family

Apple Pharmacy at St Christopher's9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• STC Opco LLC

  dba Apple Pharmacy at St Christopher's

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1023716636
  NPD tax ID
• STC Opco LLC

  dba St Christophers Hospital for Children Radiology

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1154967974
  NPD tax ID
• STC Opco LLC

  dba St Christopher's Hospital for Children- Acute Care

  • Children's Hospital
  • Philadelphia, PA
  • NPI 1194368167
  NPD tax ID
• STC Opco LLC

  dba St Christopher's Hospital for Children - Ambulatory Care

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1285277251
  NPD tax ID
• STC Opco LLC

  dba St Christophers Hospital for Children Hematology Oncology

  • Pediatric Hematology & Oncology Physician
  • Philadelphia, PA
  • NPI 1295371011
  NPD tax ID
• STC Opco LLC

  dba St Christophers Hospital for Children Genetics

  • Ph.D. Medical Genetics
  • Philadelphia, PA
  • NPI 1871139691
  NPD tax ID
• STC Opco LLC

  dba St Christophers Hospital for Children Immunology

  • Pediatric Clinical & Laboratory Immunology Physician
  • Philadelphia, PA
  • NPI 1942846761
  NPD tax ID
• STC Opco LLC

  dba St Christophers Hospital for Children Pathology

  • Pediatric Pathology Physician
  • Philadelphia, PA
  • NPI 1992341713
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1619513439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STC OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "484-628-8181"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Christophers Hospital for Children Emergency Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Christophers Hospital for Children Emergency Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• STC Opco LLC (St Christophers Hospital for Children Radiology)
• STC Opco LLC (St Christopher's Hospital for Children- Acute Care)
• STC Opco LLC (St Christopher's Hospital for Children - Ambulatory Care)
• STC Opco LLC (St Christophers Hospital for Children Hematology Oncology)
• STC Opco LLC (St. Christopher's Hospital for Children- Dental)
• STC Opco LLC (St Christophers Hospital for Children Genetics)
• STC Opco LLC (St Christophers Hospital for Children Immunology)
• STC Opco LLC (St Christophers Hospital for Children Pathology)
• STC Pediatrics LLC (St. Christopher's Pediatric Associates Immunology HIV - E. Erie Avenue)
• STC Pediatrics LLC (St Christopher's Pediatric Associates SCPA Ambulatory Medicine)

• Emergency Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.